About

Major Reasons for HPV vaccine Hesitancy in Teens:

HPV Vaccine Hesitancy among teens in 10 HHS regions in the United states

Topic Description
Target population Teens 13-17 years of age accross 10 HHS regions in the US
Research question what are the main reasons why teens (aged 13-17) do not receive HPV shots across the 10 HHS region-NIS teen data in 2023?
Data source National immunization survey -Teen( NIS-Teen)(https://www.cdc.gov/nis/media/pdfs/2024/11/NISTEENPUF23HHQUEX.pdf)
Problem Statement Despite the proven effectiveness of the HPV vaccine in explaining the prevalence of cervical cancer, its introduction cannot be targeted nationwide and is in addition to the many cancers that may be associated with HPV. There are issues that may challenge location, ethnicity/race, and economic status. Understanding the barriers to HPV vaccination and pinpointing ways to increase coverage, especially among underserved population, will help reduce the underrepresentation of HPV-related conditions.
Impact and Importance Addressing persistent gaps in HPV vaccination coverage requires targeted interventions to improve provider education, increase vaccine access, and address parental concerns and misinformation. Improving immunization infrastructure, especially in low-income and rural populations, is critical to ensuring equitable coverage of HPV vaccination. Furthermore, evidence-based public health interventions are needed to increase vaccine confidence and uptake.
Github repository https://github.com/nati1515/Vaccine

Human Healt services Regions Description

HHS regions States
Region 1 – Boston Boston, Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont
Region 2- Ner York New Jersey, New York, Puerto Rico, and the Virgin Islands
Region 3 – Philadelphia Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia
Region 4- Atlanta Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee
Region 5– Chicago Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin
Region 6- Dallas Arkansas, Louisiana, New Mexico, Oklahoma, and Texas
Region 7 – Kansas City Iowa, Kansas, Missouri, and Nebraska
Region 8- Denver Colorado, Montana, North Dakota, South Dakota, Utah, and Wyoming
Region 9 – San Francisco Arizona, California, Hawaii, Nevada, American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Guam, Marshall Islands, and Republic of Palau
Region 10- Seattle Alaska, Idaho, Oregon, and Washington

Description of Data source

Column

National immunization survey -Teen( NIS-Teen)

My capstone project is using the national immunization survey -Teen( NIS-Teen) which are a critical tool used by the Centers for Disease Control and Prevention (CDC) to monitor vaccination coverage, including the human papillomavirus (HPV) vaccine, tetanus, diphtheria, and acellular pertussis (Tdap) vaccine, and quadrivalent meningococcal conjugate vaccines, among adolescents aged 13–17 years in the United States . The NIS-Teen consists of two main components:

  1. Household Interview Questionnaire: This is conducted with parents or guardians of adolescents to gather information on vaccination status, demographic characteristics, and reasons for vaccine hesitancy or refusal.

  2. Provider-Immunization History Questionnaire: This is sent to healthcare providers to verify the vaccination records of the adolescents listed in the household interviews

Total counts and percentage of individuals Vaccinated and Unvaccinated for HPV across the 10 HHS regions

HPV Total vaccinated count and Proportion

Fig: Weighted proportions of HPV vaccination (Vaccinated teen / Total population in the region) in Teens (13-17) across the 10 HHS regions of the US

  • Key takeaways: This figure shows the proportions of teens who are vaccinated for HPV across the 10 HHS regions.Region 1, Region 3 and Region 8 have the most vaccinated groups with 67.91%, 64.32%, and 61.48% respectively

HPV Total Unvaccinated count and percentage

Fig: Weighted proportions Unvaccination (Unvaccinated teen / Total population in the region) in Teens (13-17) across the 10 HHS regions of the US

  • Key takeaways: This figure shows the proportions of teens who are not vaccinated for HPV and do not intend to get vaccinated across the 10 HHS regions. The three most common regions with highest vaccine hesitancy are Region 9(29.74%), Region 4 (28.39) and Region 10(26.78)

HPV Vaccine hesitancy Main reasons across regions

HEATMAP

  • Key takeaways: Percentage Distribution of HPV vaccine hesitancy reasons across the 10 HHS Regions. Vaccine misinformation and safety and effectiveness concerns are the major reasons across the regions.

Data table

Table: Reasons for HPV vaccine hesitancy among US teens (13-18) across 10 HHS region, US

HPV Vaccine hesitancy reasons startifed by Race

Column

Over all hesitancy by Race

Figure: Percentage of reasons for HPV vaccine hesistancy among US Teens(13-17) stratified by Race

Hestiancy Vs reasons Vs Race

Figure: Number of reasons for HPV vaccine hesistancy among Teens(13-17) across the 10 HHS US Regions stratified by Race

Table

Table: Reasons for HPV vaccine hesitancy among US teens (13-18) stratifed by race and region